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. 2010 Apr;39 Suppl 1(Suppl 1):i40-7.
doi: 10.1093/ije/dyq020.

LiST as a catalyst in program planning: experiences from Burkina Faso, Ghana and Malawi

Jennifer Bryce  1 , Ingrid K Friberg, Daniel Kraushaar, Humphreys Nsona, Godwin Yaw Afenyadu, Narcisse Nare, Sardick Kyei-Faried, Neff Walker
Affiliations

LiST as a catalyst in program planning: experiences from Burkina Faso, Ghana and Malawi

Jennifer Bryce et al. Int J Epidemiol. 2010 Apr.

Abstract

Background: African countries are working to achieve rapid reductions in maternal and child mortality and meet their targets for the Millennium Development Goals (MDGs). Partners in the Catalytic Initiative to Save One Million Lives (CI) are assisting them by providing funding and technical assistance to increase and accelerate coverage for proven interventions. Here we describe how the Lives Saved Tool (LiST) was used as part of an early assessment of the expected impact of CI plans in Malawi, Burkina Faso and Ghana.

Methods: LiST builds on country-specific demographic and cause-of-death profiles, and models the effect of changes in coverage for proven interventions on future levels of mortality among children less than 5 years of age. We worked with representatives of Ministries of Health and their development partners to apply LiST to assess the potential impact of CI plans and coverage targets, generating a short list of the highest-priority interventions for additional scale-up to achieve rapid reductions in under-5 mortality.

Results: The results show that in each country, achieving national coverage targets for just four or five high-impact interventions could reduce under-5 mortality by at least 20% by 2011, relative to 2006 levels. Even greater gains could be obtained in Burkina Faso and Ghana by scaling up these high-impact interventions to 80%. Discussion LiST can contribute to the development of stronger programmes by identifying the highest-impact interventions in a given epidemiological setting. The quality of LiST estimates is dependent on the available data on coverage levels and causes of death, and assumes that the target levels of coverage are feasible in a given context while maintaining service quality. Further experience is needed in the feasibility and usefulness of LiST as part of the program planning process at district and subdistrict levels.

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Figures

Figure 1
Figure 1
Trends in rates of under-5 mortality from 2006 to 2011 in Malawi, Burkina Faso and Ghana if 2006 coverage levels remain unchanged (baseline) and for two LiST scenarios: (i) coverage targets in the national plan are achieved; and (ii) the minimum number of interventions in the national plan that could achieve a 20% reduction in under-5 mortality by 2011 are scaled up to 80% coverage
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References

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    1. National Statistical Office and UNICEF. Lilongwe, Malawi: National Statistical Office and UNICEF; 2008. [(17 May 2009, date last accessed)]. Malawi Multiple Indicator Cluster Survey Final 2006, Report. http://www.childinfo.org.
    1. Enquête par Grappes à Indicateurs Multiples 2006. Final Report. [(17 May 2009, date last accessed)]. l’Institut National de la Statistique et de la Démographie du Burkina Faso and UNICEF. Ouagadougou, Burkina Faso; l’Institut National de la Statistique et de la Démographie du Burkina Faso and UNICEF; 2008. http://www.childinfo.org.

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